Call us now: 020 7435 4910 · Appointments within 24 to 48 hours
Shockwave therapy being applied in clinic
4.8 ★★★★★ · 140 Google reviews

Plantar fasciitis treatment in London

Heel pain that bites on the first steps of the morning. We treat it with the loading programme it needs, and shockwave when it is being stubborn.

  • Initial assessment £85
  • Hampstead & Highgate
  • No GP referral needed
  • Appointments in 24 to 48 hours

Medically reviewed by the SMARTPHYSIO clinical team · August 2026

Understanding it

Understanding plantar fasciitis

Symptoms
  • Sharp heel pain on the first steps of the morning
  • Pain under the heel after sitting, easing as you get going
  • Aching in the arch after long days on your feet
  • Pain that flares after running or long walks
  • Tenderness pressing under the heel
  • Worse in unsupportive or flat shoes
Common causes
  • Overload of the plantar fascia, the tissue supporting the arch of the foot
  • Sudden increases in walking, running or standing time
  • Calf tightness and reduced ankle mobility
  • Time on hard floors in unsupportive footwear
When to seek help
  • If heel pain has lasted more than a few weeks
  • If morning pain is a daily fixture
  • If it is limiting your running, walking or work
  • If rest and shoe changes alone have not fixed it
How we treat it

Our approach to plantar fasciitis

Calm it down, load it up, and address the calf and footwear factors that let it build.

Your assessment confirms the diagnosis, checks the calf and ankle mobility that so often sit behind it, and looks at footwear and activity. You leave with a plan you can start the same day.

Treatment centres on a progressive loading programme for the fascia and calf, with hands-on treatment and taping where they help. For cases that have not settled after months, shockwave therapy has some of its best evidence in plantar fasciitis.

What your programme can include

Progressive loading programme Shockwave therapy Calf and ankle mobility work Footwear and activity advice Manual therapy
A SMARTPHYSIO physiotherapist guiding a patient through supervised exercise
Patient reviews

What our patients say

4.8 ★★★★★
140 Google reviews · SMARTPHYSIO Hampstead
Read all reviews
JTJonathan ThorntonJuly 2026
★★★★★

“Shokola was great with my 12 year old daughter. She got straight to the issue and made good and practical suggestions for treatment.”

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DSDeborah SimmonsJuly 2026
★★★★★

“Harsha has been kind, attentive and has helped me hugely with my hip and Achilles injuries. She’s a brilliant and very knowledgeable physiotherapist and I recommend her highly.”

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NHNicky HorneJune 2026
★★★★★

“I have seen several different therapists at Sammy Margo’s over many years. Every one has been excellent. When I was recovering from a hip replacement the physio I received helped me recover really quickly. Highly recommended.”

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NSNigel SpackmanMay 2026
★★★★★

“I had a full hip replacement following a cycle accident, and have daily physio visits on weekdays for three weeks. I am already able to walk short distances without a stick or crutch, and this is entirely due to the work they have done with me.”

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ANAdrian NaftalinApril 2026
★★★★★

“Thanks to Olga I have made great strides in my recovery from the after-effects of sepsis. My strength, balance and mobility have improved enormously under her excellent physiotherapy. I would recommend her wholeheartedly.”

Google review →
Good to know

Frequently asked questions

Why does my heel hurt most in the morning?
The fascia tightens overnight, and the first steps stretch it suddenly. As treatment progresses and the tissue tolerates load better, morning pain is usually the first thing to improve.
Should I stop running with plantar fasciitis?
Not necessarily. Many runners keep running at modified volume while rehabilitating. Your programme will set the level that lets the fascia recover.
Do insoles help?
Supportive footwear and off-the-shelf insoles can reduce symptoms while the loading programme does the real work. Few people need expensive custom orthotics.
When should I consider shockwave?
If symptoms have lasted more than a few months despite a proper loading programme, shockwave is a well-evidenced next step, and we provide it in clinic.
How long does plantar fasciitis last?
Untreated, it can grumble for a year or more. With a structured programme most people improve significantly within three months.

Let's get you moving again

Tell us about a home visit and we will call you back the same working day, or book a clinic appointment online.